Individual
MRS. DENESE WALTERS HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
3312 N OAK STREET EXT BLDG D, VALDOSTA, GA 31605-1066
(229) 244-2030
(229) 244-2038
Mailing address
3312 N OAK STREET EXT BLDG D, VALDOSTA, GA 31605-1066
(229) 244-2030
(229) 244-2038
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
000196
GA
106H00000X
Marriage & Family Therapist
Primary
001208
GA
Other
Enumeration date
08/19/2011
Last updated
12/03/2020
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